Irish Journal of Medical Science最新文献

{"title":"Influence of COVID- 19 pandemic on impact factors of top biomedical journals.","authors":"Raju Vaishya, Anoop Misra, Rahul Singla, Sudhir Shekhawat, Abhishek Vaish, Filippo Migliorini","doi":"10.1007/s11845-025-03954-z","DOIUrl":"10.1007/s11845-025-03954-z","url":null,"abstract":"<p><strong>Background: </strong>The number of active journals in scholarly publishing has steadily risen. The journal impact factor (JIF) is the most widely used metric for assessing the impact and prestige of a scientific journal. The COVID- 19 pandemic triggered a significant shift in the global academic landscape, particularly in biomedical research.</p><p><strong>Aims: </strong>To systematically investigate the impact of COVID- 19 on the impact factor of top biomedical journals to address the existing knowledge gap on this matter.</p><p><strong>Methods: </strong>Between 2019 and 2023, the impact factor of the top 20 biomedical journals listed in the 2023 Journal Citation Report (JCR) was analysed using a descriptive-analytical approach. Data on JIFs and publications, including COVID- 19-related articles, were collected from Clarivate's Web of Science and PubMed.</p><p><strong>Results: </strong>JIFs of the top 20 biomedical journals increased significantly (83.4%) from 2019 to 2021, coinciding with a surge in COVID- 19 publications. This trend stabilised in 2022 but declined by 15.1% in 2023. The number of publications related to COVID- 19 peaked in 2021 (57.3%) and decreased by 12.5% in 2022 and 29.0% in 2023.</p><p><strong>Conclusions: </strong>This study unveils a significant impact of COVID- 19 on the impact factor of top biomedical journals. The increase in JIFs during the pandemic aligns with the surge in COVID- 19 research, but the subsequent decline suggests a potential shift in research focus or knowledge saturation. The study underscores the limitations of JIF as a sole metric for evaluating journal quality and highlights the importance of alternative metrics.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":"1155-1160"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between socioeconomic deprivation and maxillofacial trauma in Midwest Ireland.","authors":"Saoirse Kilgarriff, Louise Barry, Francesca Lee, Akinsola Ogunbowale, Michael Gilbride, Mark Wilson","doi":"10.1007/s11845-025-03964-x","DOIUrl":"10.1007/s11845-025-03964-x","url":null,"abstract":"<p><strong>Aim: </strong>The primary objective of this study was to assess the potential association between social deprivation and maxillofacial trauma in Midwest Ireland.</p><p><strong>Method: </strong>A retrospective cohort study of patients undergoing surgical management of maxillofacial fractures, between January 2014 and December 2023, was undertaken. The Pobal 2022 Index utilises recent census data to determine relative deprivation of each electoral region. This database was utilised to assign patients a socioeconomic quartile ranging from Q1 (most deprived) to Q4 (most affluent) and a numerical Deprivation Index Score (DIS).</p><p><strong>Results: </strong>A total of 529 patients were included, of which nine had sustained repeated facial fractures during the predetermined period. The majority of patients were male (86.43%), with a median age was 26.5 (Inter Quartile Range 20 - 36). Whilst the relative frequency of facial fractures was unaffected by area-level deprivation, fracture aetiology varied considerably across the social gradient. The incidence of assault-related fractures was significantly greater in low-income settings (Q1 versus Q3 + Q4, 66.07% versus 40.32%, p = 0.00046). Conversely, sport-related injuries were significantly more prevalent amongst affluent communities (Q3 + Q4 versus Q1 + Q2, 28.06% versus 17.89%, p = 0.0049).</p><p><strong>Conclusion: </strong>The increased incidence of assault-related fractures amongst deprived communities may be secondary to poor social cohesion and higher background levels of community violence. Furthermore, known risk factors for physical violence - namely drug and alcohol misuse - are more prevalent in low-income settings. Public policy should be directed at tackling endemic healthcare disparities that contribute to the unequal distribution of maxillofacial trauma.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":"1067-1074"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A 1-year review of anti-Ro/La autoantibody testing in an obstetric population.","authors":"Elizabeth Tunney, Clare M Crowley, Claire M McCarthy, Etaoin Kent","doi":"10.1007/s11845-025-03935-2","DOIUrl":"10.1007/s11845-025-03935-2","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate current anti-Ro and anti-La autoantibody ordering patterns, clinical indications for performing these tests, and potential cost-benefit analysis.</p><p><strong>Methods: </strong>In this retrospective cohort study, patients who underwent autoantibody testing over 1 year were included. Necessary information was obtained from patient electronic records.</p><p><strong>Results: </strong>In total 47 patients underwent anti-Ro/La autoantibody testing. Of those tested, 11/47 (2%) had positive results and testing was clinically indicated in 26/47 (55%) patients, indicating minimal cost-benefits. The total rate of the cost prescription was €1644.96. The mean time to process tests was 5 days. In those with positive autoantibodies, two infants were diagnosed with congenital heart block and had pacemakers inserted after delivery.</p><p><strong>Conclusion: </strong>This study found anti-Ro/La autoantibody tests were appropriately ordered in accordance with clinical guidelines. By identifying patients who were autoantibody negative, economic benefits were gained, in terms of antenatal management including reduced frequency of antenatal visits and fetal heart surveillance.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":"989-993"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: 11 Abstracts from UL Hospitals NCHD Conference.","authors":"","doi":"10.1007/s11845-025-03959-8","DOIUrl":"10.1007/s11845-025-03959-8","url":null,"abstract":"","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":"1189"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consensus between healthcare professionals on the \"appropriateness\" of attendances in an Irish emergency department.","authors":"Conor Prendergast, John Ryan, Louise A Barry, Rose Galvin, Niamh M Cummins","doi":"10.1007/s11845-025-03961-0","DOIUrl":"10.1007/s11845-025-03961-0","url":null,"abstract":"<p><strong>Background: </strong>Non-urgent care attendances to the emergency department (ED) increase the strain on this sector. Identification of patients who may benefit from appropriate alternative care pathways may serve to lessen ED crowding. However, healthcare professionals from different specialties may differ in their opinion of what is an appropriate use of ED services.</p><p><strong>Aim: </strong>The study aims to establish the consensus between healthcare professionals, from different specialties, on the appropriateness of attendances to an Irish ED.</p><p><strong>Methods: </strong>This was a single centre, cross-sectional study. Data were compiled in anonymised patient summary files (n = 77) from adults attending the ED over 24 h period. These summary files were reviewed by five different healthcare professionals; an emergency medicine consultant (EMC), an emergency medicine specialist registrar (EM SpR), an ED clinical nurse manager (CMN), an advanced paramedic (AP) and a general practitioner (GP). The clinicians were asked if the patient could have been managed by GP the same day or next day, if the patient's ED visit was an inappropriate use of ED resources and to rank on a scale of 0-10 how appropriate the ED visit was.</p><p><strong>Results: </strong>Inter-rater agreement on management by GP in 24-48 h was 56% and ranged from 30% (CMN) to 40% (EMC). For inappropriate use of ED resources, consensus was 58% and ranged from 12% (GP) to 35% (EMC). Median \"appropriateness\" rating ranged from 6 (EM SpR) to 8 (AP and CMN). When the \"appropriateness\" scale was trichotomized, the \"inappropriate\" attendances ranged from 1% (CMN) to 21% (EM SpR), whilst \"appropriate\" attendances ranged from 47% (EM SpR) to CMN (78%).</p><p><strong>Conclusion: </strong>Despite agreement that there was \"inappropriate\" use of ED services, healthcare professionals from different backgrounds did not reach a general consensus on which attendances were inappropriate. Therefore, expectations regarding patients' ability to self-assess illness or injury severity related to ED attendances may not be reasonable.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":"1149-1154"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How safe is kitesurfing? A review of orthopaedic kitesurfing injuries.","authors":"Andrew Crimmins, Christopher Wilson, Michael Wilson, Alexander Lloyd, Nicholas Savva, Nicholas Fernandez, Peter Ward, Matthew Barrett","doi":"10.1007/s11845-025-03956-x","DOIUrl":"10.1007/s11845-025-03956-x","url":null,"abstract":"<p><strong>Introduction: </strong>This narrative review aims to provide a comprehensive overview of injuries arising from kitesurfing.</p><p><strong>Methods: </strong>We conducted a systematic search of articles from the last 20 years relating to kitesurfing orthopaedic injuries. Two of the authors independently conducted a systematic search of Pubmed (Medline), Embase, NHS Library and Knowledge Hub, TRIP, and Google Scholar: ultimately, after exclusions, the report analysed 25 articles.</p><p><strong>Discussion: </strong>Kitesurfing is associated with a high incidence of lower limb injuries in which protective gear is uncommon. Furthermore, a lack of educational initiatives and specified strength training may compound this risk.</p><p><strong>Conclusion: </strong>Notably, there is a lack of prospective evidence documenting traumatic injury. Addressing this gap is a potential next step, to enhance our understanding of injury patterns and preventative measures.</p><p><strong>What is already known: </strong>Common kitesurfing injuries include those to the foot, ankle, and knee, typically resulting from falls or collisions with the board or water. While the majority of injuries are relatively mild, more significant injuries such as ACL rupture, PCL rupture, and polytrauma have also been reported. What are the new findings: This systematic review confirmed that the majority of injuries occur below the knee (average 50%). Injuries of the chest (average 8.5%) and head (average 10.8%) also make up a significant proportion of injuries sustained. Although the majority of injuries in kitesurfing are minor, due to the high forces typically involved, there is the potential for catastrophic injury including; neurological, internal bleeding, polytrauma and death.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":"1131-1147"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How can physical activity promotion be optimised in general practice: a narrative review of the literature.","authors":"Stephen Dolan, Andrew O'Regan","doi":"10.1007/s11845-025-03932-5","DOIUrl":"10.1007/s11845-025-03932-5","url":null,"abstract":"<p><strong>Background: </strong>Physical inactivity is a significant contributor to preventable chronic health conditions worldwide. General practice has been identified as a setting to improve physical activity levels through exercise promotion during consultations. However, physical activity promotion in general practice is unstructured and suboptimal.</p><p><strong>Aims: </strong>The aim of this study is to review the literature pertaining to factors that influence physical activity promotion in general practice and to answer the research question: what are the experiences of patients and GPs with physical activity promotion in consultations?</p><p><strong>Methods: </strong>Online databases were searched for relevant papers using predetermined inclusion and exclusion criteria. Papers retrieved were original research only, involving patients, general practitioners or practice nurses. A PRISMA approach to study selection was followed.</p><p><strong>Results: </strong>Of 464 papers retrieved, 20 were included in the review. Physical activity promotion is acceptable to patients but some do not appreciate its health benefits. A personalised approach is important to patients, including tailored advice and setting meaningful goals. Studies involving general practitioners and practice nurses report that they are aware of the importance of physical activity and their role in its promotion, but time is the primary barrier. Strategies identified include demedicalisation of physical activity, resources such as patient handouts as well as signposting to community initiatives, social prescribers and collaboration with exercise professionals.</p><p><strong>Conclusion: </strong>General practice has the potential to effectively promote physical activity but system- and practitioner-level changes are necessary to achieve meaningful change.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":"969-987"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction Note: Presentations to eye emergency departments with flashes and floaters differ dependent on incident solar radiation.","authors":"Sarah K Powell, Darragh Garrahy, Daire J Hurley, Syed Bilal Hassan Zaidi, Brian McEllistrem, Kirk A J Stephenson","doi":"10.1007/s11845-025-03934-3","DOIUrl":"10.1007/s11845-025-03934-3","url":null,"abstract":"","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":"1183"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: Upper endoscopy in elderly patients: a multicentre, cross‑sectional study.","authors":"Angelo Zullo, Vincenzo De Francesco, Arnaldo Amato, Irene Bergna, Emanuele Bendia, Giorgia Giorgini, Elisabetta Buscarini, Guido Manfredi, Sergio Cadoni, Renato Cannizzaro, Stefano Realdon, Mario Ciuffi, Orazio Ignomirelli, Paola Da Massa Carrara, Giovanni Finucci, Antonietta Di Somma, Chiara Frandina, Mariafrancesca Loria, Francesca Galeazzi, Francesco Ferrara, Carlo Gemme, Noemi Sara Bertetti, Federica Gentili, Antonio Lotito, Bastianello Germanà, Nunzia Russo, Giuseppe Grande, Rita Conigliaro, Federico Cravero, Giovanna Venezia, Riccardo Marmo, Piera Senneca, Angelo Milano, Konstantinos Efthymakis, Fabio Monica, Paolo Montalto, Mario Lombardi, Olivia Morelli, Danilo Castellani, Daniela Nigro, Roberto Festa, Sergio Peralta, Maria Grasso, Antonello Privitera, Maria Emanuela Di Stefano, Giuseppe Scaccianoce, Mariangela Loiacono, Sergio Segato, Marco Balzarini, Paolo Usai-Satta, Mariantonia Lai, Francesca Fortunato, Raffaele Manta","doi":"10.1007/s11845-025-03957-w","DOIUrl":"10.1007/s11845-025-03957-w","url":null,"abstract":"","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":"1187-1188"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors associated with ST-segment elevation myocardial infarctions among young patients treated in the Mid-West of Ireland: a case series report using secondary data.","authors":"Sandra N Nantumbwe, Roisin Gardiner, Thomas J Kiernan, Niamh M Cummins","doi":"10.1007/s11845-025-03965-w","DOIUrl":"https://doi.org/10.1007/s11845-025-03965-w","url":null,"abstract":"<p><strong>Background: </strong>ST-segment elevation myocardial infarction (STEMI) occurs when the myocardium has been damaged due to an acute occlusion of a coronary artery. STEMI commonly presents in older populations; however, little is known about the prevalence and risk factors among young patients. This is the first study on STEMI in young patients in Ireland.</p><p><strong>Aims: </strong>To determine the prevalence of STEMI and explore the associated risk factors in a cohort of young adults aged 45 years and below in the Mid-West of Ireland.</p><p><strong>Methods: </strong>This is a case series report using secondary data analysis of data collected from patients aged 45 years or below, hospitalized at University Hospital Limerick between January 2012 and December 2019. All patients who had a primary diagnosis of STEMI during this time period were eligible for inclusion. Clinical data were collected via electronic records and included demographic, clinical, and biomarker variables.</p><p><strong>Results: </strong>The sociodemographic characteristics of the STEMI patients revealed that a majority were male (90%), overweight or obese (63%), smokers (69%) and lived in urban areas (74%). Over half of the patients (53%) were diagnosed with hypertension, 69% had a family history of cardiovascular disease (CVD) and 40% had diabetes diagnosis. After initial hospitalization, 64% were readmitted for another procedure.</p><p><strong>Conclusions: </strong>This study identified cardiovascular risk factors among STEMI patients in Ireland as male, smoking, family history of cardiovascular disease, and being overweight or obese. This study hopes to increase awareness of young STEMI patients and inform health promotion initiatives within this cohort.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}